Recent Advances in Medical Applications of Synchrotron Radiation
Stanford Synchrotron Radiation Laboratory
March 4-5, 2002
Program Director: Edward Rubenstein

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Joseph Roberson
Keith Hodgson
James Rubenstein
Katsuhito Yamasaki
Helene Elleaume
Giuliana Tromba
Wolf-Rainer Dix
Kazuki Hyodo
Barton Lane
William Thomlinson
Hiroshi Sugiyama
Masami Ando
John Kinney
Avraham Dilmanian
Dean Chapman
Zhong Zhong
Brenda Laster
Roman Tatchyn
Paul Csonka
Quantitative Functional Lung Imaging with Synchrotron Radiation using Inhaled Xenon as Contrast Agent
< br> W. Thomlinson1, S. Bayat1,2, G. Le Duc1, S. Monfraix1, G. Berruyer1, T. Brochard1, C. Nemoz1, L. Porra3, P. Suortti3, C.G. Standertskjöld-Nordenstam4 and A.R.A. Sovijärvi5

1European Synchrotron Radiation Facility, BP 220, F-38043 Grenoble, France
2
TIMC-PRETA, UMR CNRS 5525, Laboratoire de Physiologie, Université Joseph Fourier, Faculté de Médicine, Domaine de la Merci, F-38700 La Tronche, France
3
Department of Physics, POB 64, FIN-00014 University of Helsinki, Finland
4
Department of Radiology, University of Helsinki Central Hospital, POB 340, FIN-00029 HUS, Finland
5
Department of Clinical Physiology and Nuclear Medicine, Helsinki University Central Hospital, POB 340, FIN-00029 HUS, Finland
Small airways play a key role in the distribution of ventilation, and in the matching of ventilation to perfusion. The purpose of this study is to introduce an imaging method that allows the measurement of regional lung ventilation and to evaluate the function of airways with a small diameter.

The experiments are performed at the Medical Beamline of the European Synchrotron Radiation Facility. Monochromatic synchrotron radiation beams are used to obtain quantitative, respiration-gated, K-Edge subtraction images of lungs and airways in anae sthetized and mechanically ventilated rabbits using inhaled stable xenon (Xe) gas as contrast agent. Two-dimensional projection and tomographic images are obtained showing spatial distribution of Xe concentrations within the airspaces, as well as the dynamics of filling with Xe.

Bronchi down to 1 mm in diameter are visible both in the subtraction radiographs and in tomographic images. Absolute concentra tions of Xe gas are calculated within the tube carrying the inhaled gas mixture, small and large bronchi, and lung tissue. Local time constants of ventilation with Xe can be obtained by following the evolution of gas concentration in sequential computed tomography images.

The results of these initial studies indicate that KES imaging of lungs with Xe gas as contrast agent has a great potential in studie s of the distribution of ventilation within the lungs and of airway function.

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